Healthcare Provider Details

I. General information

NPI: 1780051300
Provider Name (Legal Business Name): LINDA GUZMAN-KURANI APN, CPNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2015
Last Update Date: 11/10/2020
Certification Date: 11/10/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7464 N CLARK ST
CHICAGO IL
60626-1620
US

IV. Provider business mailing address

9337 OLIPHANT AVE
MORTON GROVE IL
60053-1047
US

V. Phone/Fax

Practice location:
  • Phone: 773-381-8700
  • Fax:
Mailing address:
  • Phone: 217-721-4411
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number209013076
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: